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The impact of pharmaceutical care intervention on the depressive symptoms of patients diagnosed with hypothyroidism 药学服务干预对甲状腺功能减退患者抑郁症状的影响
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-29 DOI: 10.31351/vol32iss2pp139-149
Rafal Malik Kamil, None Vian Ahmed Wasta Esmail, None Dler Shamsulddin Hamid *
Pharmaceutical care interventions are a set of recommendations/interventions given by the pharmacist to improve therapeutic compliance, reduce complications, solve a drug therapy problem and improve patients' quality of life with chronic diseases by achieving patient satisfaction. The role of pharmaceutical care intervention in improving the condition of patients with hypothyroidism is still uncovered in Sulaimani city in Iraq, therefore, the current study aimed to evaluate the role of pharmaceutical care interventions in improving the outcome of psychological abnormalities in patients diagnosed with hypothyroidism. Fifty-eight patients were enrolled in the study and were randomly allocated into two groups: pharmaceutical care and the control group, both groups were interviewed by the pharmacist using a specific questionnaire. It is the fourth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) for assessing their psychological state at the beginning and the at the end of the study and data are recorded by the pharmacist. Blood samples were collected and utilized for analyzing the levels of thyroid function tests, lipid profile tests and blood glucose parameters at baseline and six weeks after. The pharmaceutical care group received all the education about their medications and how to minimize drug-related problems; improve the outcome and quality of life. Additionally, the pharmaceutical intervention included correcting some biochemical parameters. The study findings suggest that pharmaceutical care intervention and the pharmacist’s role over six-weeks period could improve the patient’s psychological condition. In addition, it can improve some biochemical parameters and quality of life significantly.
药学服务干预是药师为提高治疗依从性,减少并发症,解决药物治疗问题,提高慢性疾病患者的生活质量,使患者满意而提出的一套建议/干预措施。在伊拉克苏莱曼尼市,药学服务干预对改善甲状腺功能减退患者病情的作用尚不清楚,因此,本研究旨在评估药学服务干预对改善甲状腺功能减退患者心理异常结局的作用。58名患者被纳入研究,随机分为药学护理组和对照组,两组患者均由药师使用特定问卷进行访谈。这是精神疾病诊断与统计手册(DSM-IV)的第四版,用于评估他们在研究开始和结束时的心理状态,数据由药剂师记录。采集血液样本,用于分析基线和6周后甲状腺功能测试、血脂测试和血糖参数的水平。药学护理组接受了有关药物和如何减少药物相关问题的所有教育;改善结果和生活质量。此外,药物干预包括纠正一些生化参数。研究结果表明,在6周的时间内,药学服务干预和药师的作用可以改善患者的心理状况。此外,它还能显著改善一些生化参数和生活质量。
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引用次数: 0
Ameliorating Effect of Azilsartan on Cisplatin -Induced Ocular Toxicity in Male Rats 阿齐沙坦对雄性大鼠顺铂眼毒性的改善作用
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-29 DOI: 10.31351/vol32iss2pp96-111
Naza Mahmood, None Noor Majid Raheem Kareem1
Objective: To evaluate the protective effect of Azilsartan against Cisplatin-induced ocular damage by ameliorating the oxidative stress and inflammation status, as well as to compare two different doses of Azilsartan to the Resveratrol. Fifty-six male Wister albino-rats, weighing 270±30 g. The rats were allocated at random into seven groups (n=8 per group), as follows: Group 1 (Healthy control) was given 0.5% CMC orally for the 14 days. Group 2 (Positive control) was given a single injection of 7mg/kg Cisplatin intraperitoneally and then 0.5% CMC orally for the following 14 days. Group 3 was given 3.5mg/kg Azilsartan orally for the following 14 days. Group 4 was given 7mg/kg Azilsartan orally for the following 14 days. Group 5 was given a single injection of 7mg/kg Cisplatin intraperitoneally and then 3.5mg/kg Azilsartan orally for the following 14 days. Group 6 was given a single injection of 7mg/kg Cisplatin intraperitoneally and then 7mg/kg Azilsartan orally for the following 14 days. Group 7 (standard) was given 25mg/kg/day Resveratrol orally for following 14 days.Azilsartan at low dose (3.5mg/kg) showed a significant reduction in IL-1β pro-inflammatory marker level, whereas there was no significant effect on MDA and SOD levels in cisplatin-induced ocular damage. Histologically, there were significant reduction in inflammatory exudates, edema, and inflammatory cells infiltration with both doses. Additionally, there were no significant difference among Azilsartan only received groups and Resveratrol group. Azilsartan shows a promising anti-inflammatory effect in ocular tissue in Cisplatin experimental rat models by significantly reducing IL-1β overexpression, through its potent AT1receptor blocking effect. However, Azilsartan showed a slight effect on MDA levels and marginal effect on SOD levels in Cisplatin-induced ocular toxicity. Furthermore, Azilsartan at a low dose slightly mimicked the effect of resveratrol on normal ocular tissue, suggesting an advancement in prophylactic application in ocular injury. Keywords: Azilsartan, IL-1β, Cisplatin, Ocular Toxicity
目的:评价阿兹沙坦通过改善氧化应激和炎症状态对顺铂性眼损伤的保护作用,并比较两种不同剂量阿兹沙坦与白藜芦醇的对比。56只雄性白化Wister大鼠,体重270±30 g。将大鼠随机分为7组(每组8只),分别为:1组(健康对照组)给予0.5% CMC,连续14 d;2组(阳性对照)给予顺铂7mg/kg单次腹腔注射,再加0.5% CMC口服,连续14 d。3组大鼠给予阿齐沙坦3.5mg/kg口服,连续14 d。第4组给予阿齐沙坦7mg/kg口服,连续14 d。5组患者给予顺铂7mg/kg腹腔单次注射,阿齐沙坦3.5mg/kg口服,连续14 d。第6组患者给予顺铂7mg/kg腹腔单次注射,阿齐沙坦7mg/kg口服,连续14 d。第7组(标准组)给予白藜芦醇25mg/kg/d口服,连续14 d。低剂量(3.5mg/kg)阿齐沙坦可显著降低IL-1β促炎标志物水平,而对顺铂所致眼损伤的MDA和SOD水平无显著影响。组织学上,两种剂量均显著减少炎症渗出物、水肿和炎症细胞浸润。阿兹沙坦组与白藜芦醇组间无显著性差异。阿兹沙坦通过其强大的at1受体阻断作用,显著降低IL-1β过表达,在顺铂实验大鼠模型中显示出良好的抗炎作用。而阿齐沙坦对顺铂眼毒性大鼠MDA水平的影响较小,对SOD水平的影响较小。此外,低剂量阿兹沙坦对正常眼组织的作用与白藜芦醇相似,提示在眼损伤预防应用方面有一定进展。 关键词:阿齐沙坦,IL-1β,顺铂,眼毒性
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引用次数: 0
The Protective Effect of Omega-7 on Cisplatin-Induced Nephrotoxicity in Rat Model Omega-7对大鼠顺铂肾毒性模型的保护作用
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-29 DOI: 10.31351/vol32iss2pp128-133
None Shurouqhussam, None Ali Faris Hassan
Omega-7 is a monounsaturated fatty acid that has a number of beneficial effects. Cisplatin, an effective antineoplastic agent is commonly used to treat solid tumors. Cisplatin΄s clinical use has been limited due to its nephrotoxicity. Nephrotoxicity induced by Cisplatin is thought to be linked with increased formation of reactive oxygen species. The purpose of this study was to evaluate the anti-oxidant effect of omega 7 against Cisplatin induced nephrotoxicity. thirty male wistar rats were divided randomly into five groups with six rats in each group , group 1 rats received liquid paraffin solution orally for 7 consecutive days , group 2 rats received single intraperitoneal injection of Cisplatin (7.5 mg/ kg) , group 3 rats received omega-7 (50mg/ kg) orally for 7 consecutive days and then received Cisplatin single intraperitoneal injection (7.5mg/ kg) on day 8 , group 4 rats received omega-7 (100 mg/ kg) orally for 7 consecutive days and then received single intraperitoneal injection of Cisplatin (7.5mg/ kg) on day 8 , group 5 rats received omega 7 (100mg/ kg) orally for 7 consecutive days .on the ninth , all animals were sacrificed and tissue homogenates were used for the estimation of glutathione peroxidase-1(GPX-1), superoxide dismutase-1(SOD-1), reduced glutathione(GSH), catalase(CAT) and malondialdehyde(MDA). Treatment of rats with omega-7 showed significant (p < 0.05) elevation in the activities of anti-oxidant enzymes (GPX-1, SOD-1, reduced GSH and CAT) and significant (p < 0.05) reduction of MDA level compared to Cisplatin (positive control) group.in conclusion, omega-7 has a protective effect against Cisplatin-induced nephrotoxicity maybe through its anti-oxidant activity.
-7是一种单不饱和脂肪酸,有许多有益的作用。顺铂是一种有效的抗肿瘤药物,常用于治疗实体瘤。Cisplatin΄s由于其肾毒性,临床使用受到限制。顺铂引起的肾毒性被认为与活性氧的形成增加有关。本研究的目的是评估欧米茄7对顺铂引起的肾毒性的抗氧化作用。将30只雄性wistar大鼠随机分为5组,每组6只大鼠,1组大鼠连续7天口服石蜡液体溶液,2组大鼠单次腹腔注射顺铂(7.5mg/ kg), 3组大鼠连续7天口服-7 (50mg/ kg),第8天单次腹腔注射顺铂(7.5mg/ kg)。第4组大鼠连续7天口服omega-7 (100mg/ kg),第8天单次腹腔注射顺铂(7.5mg/ kg),第5组大鼠连续7天口服omega-7 (100mg/ kg),第9天处死所有动物,用组织匀浆测定谷胱甘肽过氧化物酶-1(GPX-1)、超氧化物歧化酶-1(SOD-1)、还原性谷胱甘肽(GSH)、过氧化氢酶(CAT)和丙二醛(MDA)的含量。omega-7对大鼠的治疗效果显著(p <抗氧化酶(GPX-1、SOD-1、还原性GSH和CAT)活性显著升高(p <与顺铂(阳性对照)组相比,MDA水平降低0.05)。综上所述,omega-7可能通过其抗氧化活性对顺铂所致肾毒性具有保护作用。
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引用次数: 0
Comparative Study for Citrus Fruits Phytochemical Screening and In-vitro Antioxidant Activity 柑橘类水果植物化学筛选及体外抗氧化活性比较研究
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-29 DOI: 10.31351/vol32iss2pp134-138
IHAB IBRAHIM AL-KHALIFA, None Rand A. Aziz, None Mohammed K.Abbas, None Mohammed M. Fadhil
Oxidative stress is one of pharmacological & toxicology mechanisms as an important pathological mechanism proposed for many diseases including cancer . Plant components that include antioxidant components are becoming more popular as an alternative to synthetic antioxidants because of their ability to eliminate free-radical intermediates and prevent further oxidation, Citrus genus, which belongs to the Rutaceae family, comprises among of the world's most frequently harvested crops due to its many nutritional and health advantages. The preliminary phytochemical analysis of the prepared extract shown the presence of several constituents of citrus peels as Alkaloids, Phenolics , Flavonoids and rutin. Moreover , The result of in-vitro antioxidants activity of both citrus species showed that DPPH radical scavenging activity for peel extract demonstrate dose-dependent inhibition with IC50 was calculated (287.32 ug/ml and 341.89 µg/ml) for pomelo & orange respectively compared to IC50 value of vitamin C which was 260.06 µg/ml as standard antioxidant . in conclusion , study results showed that pomelo peel show higher antioxidant activity compared to orange moreover, citrus peel has significant antioxidant qualities and is a potentially rich source of natural antioxidants, and PPE scavenges DPPH and reactive oxygen radicals very effectively.
氧化应激是影响人体健康的药理作用之一。毒理学机制是包括癌症在内的许多疾病的重要病理机制。含有抗氧化成分的植物成分作为合成抗氧化剂的替代品越来越受欢迎,因为它们具有消除自由基中间体和防止进一步氧化的能力。柑橘属属于芦花科,由于其许多营养和健康优势,是世界上收获最频繁的作物之一。初步植物化学分析表明,提取液中含有生物碱、酚类、黄酮类和芦丁等成分。此外,两种柑橘的体外抗氧化活性结果表明,柚皮提取物对DPPH自由基的清除能力表现出剂量依赖性,其IC50分别为287.32 ug/ml和341.89µg/ml;作为标准抗氧化剂,维生素C的IC50值为260.06µg/ml。综上所述,研究结果表明,柚子皮的抗氧化活性高于橙子,柑桔皮具有显著的抗氧化特性,是潜在的丰富的天然抗氧化剂来源,PPE能有效清除DPPH和活性氧自由基。
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引用次数: 0
Protective Effect of Cranberry Extract against Cisplatin-Induced Nephrotoxicity by Improving Oxidative Stress in Mice 蔓越莓提取物改善小鼠氧化应激对顺铂所致肾毒性的保护作用
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-29 DOI: 10.31351/vol32iss2pp112-119
Baidaa Alkhazragy, Nada N. Alshawi
Cranberry (Vaccinium macrocarpon) is a North American natural fruit. consumed as food and used for health promotion and prevention of various diseases. Aim. The present study was designed to evaluate the protective effect of cranberry fruit extract on nephrotoxicity induced by cisplatin in mice by measuring selected oxidative stress markers. Methods. Twenty-eight male albino mice were used in this study. The animals were divided into 4 groups as follows: Group I [Negative Control]/orally-administered normal saline for 7 successive days; Group II [Orally-administered cranberry fruit extract alone (200 mg/kg) for 7 successive days; Group III/Mice IP injection with cisplatin (12mg/kg) on day 7 and; Group IV [Orally-administered cranberry fruits extract for 7 successive days followed by single IP injection of cisplatin on day 7. After euthanization of each animal by diethyl ether (on day 8th), serum and renal tissue samples were collected for analysis. Results. Administration of cranberry fruit extract resulted in a significant decline in serum creatinine level (0.87±0.120) and a significant elevation in renal reduced glutathione level (197.42±62.958) (P<0.05) with the improvement in the histological analysis of renal tissue of mice of Group IV compared to that in cisplatin intraperitoneally-injected Group III mice. Conclusions. Orally-administrated cranberry extract prior to cisplatin exerts a protective effect against nephrotoxicity induced by cisplatin via improving the oxidative stress process in mice.
蔓越莓(学名:Vaccinium macrocarpon)是一种北美天然水果。作为食物食用,用于促进健康和预防各种疾病。的目标。本研究旨在通过测定氧化应激标志物,评价蔓越莓提取物对顺铂所致小鼠肾毒性的保护作用。方法。本研究选用雄性白化小鼠28只。将大鼠分为4组:ⅰ组(阴性对照)/连续7 d口服生理盐水;II组[单独口服蔓越莓提取物(200 mg/kg),连续7 d;III组/小鼠IP注射顺铂(12mg/kg),第7天;IV组[连续7天口服蔓越莓提取物,第7天单次IP注射顺铂。每只动物于第8天用乙醚安乐死后,采集血清和肾组织标本进行分析。结果。与顺铂腹腔注射组相比,IV组小鼠血清肌酐水平显著降低(0.87±0.120),肾脏还原性谷胱甘肽水平显著升高(197.42±62.958)(P<0.05),肾脏组织组织学分析改善。结论。顺铂前口服蔓越莓提取物通过改善小鼠氧化应激过程,对顺铂所致肾毒性具有保护作用。
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引用次数: 0
Evaluation of The Effect of Fisetin against Cyclophosphamide-Induced Myelosuppression and Oxidative Stress in Male Albino Rats 非西汀对环磷酰胺诱导的雄性白化大鼠骨髓抑制和氧化应激作用的评价
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-29 DOI: 10.31351/vol32iss2pp120-127
Amani Jabbar, Nada Naji Alshawi
Myelosuppression is a serious disease that is related to the malfunction of blood cells production that leads to cytopenia which is the most serious hematologic toxicity of cancer chemotherapies including cyclophosphamide, which is a strong oxazaphosphorine [a nitrogen mustard alkylating agent] that can be used alone or combined with other chemotherapeutic agents for the treatment of different malignant diseases. It induces severe bone marrow suppression by damaging hematopoietic stem cells through the generation of oxidative stress. Fisetin is a hydrophobic polyphenolic compound with a wide range of pharmacological properties such as antioxidant, anti-inflammatory, antimicrobial, osteoprotective, antidiabetic, and anti-carcinogenic activities. The present study aims to evaluate the effects of fisetin alone and pretreatment with cyclophosphamide on some selected hematological and oxidative stress parameters in the male rats model. Animals were randomly divided into 4 groups each with 7 rats. The first group received 1% dimethyl sulfoxide (negative control group). The second group received oral fisetin. The third group received a single intraperitoneal (IP) injection of cyclophosphamide (CP) and the fourth group received fisetin for 7 constitutive days than a single IP injection of CP on day 7. Results showed that both fisetin and CP significantly reduced the total white blood cells and platelet counts compared to such counts in negative control/Group I (P<0.05) when each administered alone and in combination. Furthermore, results viewed that fisetin significantly increased GSH and SOD1, and decrease MDA levels in serum compared to such levels in CP (Group III) rats (P<0.05). The study concluded that the administration of fisetin alone causes leukopenia and thrombocytopenia and this decrease augmented in combination with CP; while exhibiting a strong antioxidant effect against CP induced-oxidative stress.
骨髓抑制是一种严重的疾病,与血细胞产生功能障碍导致细胞减少有关,这是包括环磷酰胺在内的癌症化疗最严重的血液学毒性,环磷酰胺是一种强恶氮磷[氮芥烷化剂],可单独使用或与其他化疗药物联合使用,用于治疗不同的恶性疾病。它通过产生氧化应激损伤造血干细胞,诱导严重的骨髓抑制。非瑟酮是一种疏水多酚类化合物,具有广泛的药理特性,如抗氧化、抗炎、抗菌、护骨、抗糖尿病和抗癌活性。本研究旨在评价非瑟酮单用和环磷酰胺预处理对雄性大鼠模型部分血液学和氧化应激参数的影响。动物随机分为4组,每组7只大鼠。第一组给予1%二甲亚砜(阴性对照组)。第二组患者口服非瑟酮。第3组腹腔单次注射环磷酰胺(CP),第4组腹腔单次注射非瑟酮7个组成d,第7天腹腔单次注射CP。结果显示,与阴性对照组/ⅰ组相比,非西汀和CP单独或联合使用均显著降低了总白细胞和血小板计数(P<0.05)。结果显示,与CP (III组)大鼠相比,非瑟酮显著提高血清GSH和SOD1水平,降低血清MDA水平(P<0.05)。该研究的结论是,单独使用非瑟酮可引起白细胞减少和血小板减少,并且与CP联合使用时这种减少会增强;同时对CP诱导的氧化应激表现出较强的抗氧化作用。
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引用次数: 0
Efficacy and Safety of Thymoquinone on Suppression of Tumor Growth in N-butyl-N-(4-hydroxybutyl)-Nitrosamine -Induced Bladder Cancer in Rats 百里醌抑制n -丁基- n -(4-羟基丁基)-亚硝胺诱导膀胱癌大鼠肿瘤生长的有效性和安全性
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-29 DOI: 10.31351/vol32iss2pp150-161
Karmand Salih Hamaamin Qadir, Bushra Hassan Marouf
Bladder cancer is one of the most common genitourinary malignancies worldwide, the therapeutic approaches for suppression of urothelial tumor and progression toward distant metastasis are not convincing. The present study was conducted to explore the curative effect and safety of THQ in N-butyl-N-(4-hydroxybutyl) nitrosamine (BBN) induced bladder cancer in rat. Twenty-two male Wister albino rats were allocated into three group G1; served as control (n=6) received only the vehicle. G2: carcinogen group (n=6); animals had 0.05% BBN in drinking water for nine weeks. G3: Treatment group (n=10); THQ was administered at a dose of 50mg/Kg/day orally one week prior to the last exposure of BBN and continued till week 20. The bladder wall of all the animals was examined macroscopically for assessment of the number and the surface area of the lesions using Image J software program. Histopathological evaluation was also done for abnormal morphological alterations. Serum was analyzed for measurement of total oxidant status (TOS) and nuclear factor kappa- κB (NF-κB), transforming growth factor beta-1 (TGF-β1) as well as vascular endothelial growth factor (VEGF). Safety of THQ in respect of hematological, liver and renal function were also investigated. Bladder lesions in the THQ-treated group was reduced versus the carcinogen group. Histopathological findings in THQ-treated group demonstrated a significant improvement in the abnormal morphological growth in bladder, the TOS, NF-kβ, TGF-β, VEGF were mitigated non-significantly in the treatment group. The safety profile of THQ showed no significant deleterious effect on hematological, liver and renal function parameters with no signs of toxicity. THQ inhibited the development of neoplastic, preneoplastic transformations and it suppressed premalignant and malignant lesion formation in a rat model of bladder cancer. This might be due to antioxidant and anti-inflammatory properties of THQ. These data suggested that THQ may be effective and safe in ameliorating urinary bladder carcinogenesis.
膀胱癌是世界范围内最常见的泌尿生殖系统恶性肿瘤之一,其抑制尿路上皮肿瘤和向远处转移的治疗方法尚不令人信服。本研究旨在探讨THQ对n -丁基- n -(4-羟基丁基)亚硝胺(BBN)诱导大鼠膀胱癌的疗效和安全性。 雄性白化Wister大鼠22只,分为G1组;作为对照组(n=6),只接受载具。G2:致癌物组(n=6);动物连续9周饮用含有0.05% BBN的水。G3:治疗组,n=10;在最后一次接触BBN前一周,以50mg/Kg/天的剂量口服THQ,并持续到第20周。采用Image J软件程序对所有动物膀胱壁进行宏观检查,以评估病变的数量和表面积。组织病理学评估异常形态学改变。测定血清总氧化状态(TOS)、核因子κB (NF-κB)、转化生长因子β -1 (TGF-β1)、血管内皮生长因子(VEGF)。此外,还对THQ在血液学、肝肾功能方面的安全性进行了研究。与致癌物组相比,thq治疗组膀胱病变减少。四氢棉素组膀胱异常形态生长明显改善,TOS、NF-kβ、TGF-β、VEGF均无明显减轻。四氢大麻素的安全性对血液学、肝肾功能指标无明显不良影响,无毒性迹象。在大鼠膀胱癌模型中,THQ抑制肿瘤、瘤前转化的发展,抑制癌前病变和恶性病变的形成。这可能是由于THQ的抗氧化和抗炎特性。这些数据表明THQ在改善膀胱癌变方面可能是有效和安全的。
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引用次数: 0
Correlation between Trace Element Levels in Iraqi Breast Cancer Patients 伊拉克乳腺癌患者微量元素水平的相关性
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-27 DOI: 10.31351/vol32iss2pp58-64
Hadeel Alhashimy, None Shaymaa Abdulzahra Abbas
Breast Cancer (BC) is the most common disease in the human body in both sex , male and female ,Trace elements (TEs) like copper (Cu); zinc (Zn) and iron (Fe) have a vital role in biological and metabolic effects including activation or inhibition of enzymatic reaction, reactive oxygen species (ROS), competition between trace elements and metal proteins for binding positions and modifications in the permeability of cellular membranes which affect on cancers events.This paper reviews measured trace elemental concentrations of cancerous and noncancerous blood sample by drawing 5 ml of venous blood from all patient and control (healthy persons) ,the serum was separated then used to measure the Zn,Cu and Fe. by using. a convenient colorimetric assay. The statistical significant association was determined, the p values is larger than 0.05 so the data considered statistically significant ,and there is a difference in the levels of trace elements (Zn, Cu and Fe) in four groups ; the median of Zn and Cu were highest in control group compared to the rest groups ,the median of Fe is highest in benign group compared to the rest groups .
乳腺癌(BC)是人体内男女两性最常见的疾病,微量元素(TEs)如铜(Cu);锌(Zn)和铁(Fe)在生物和代谢作用中起着至关重要的作用,包括激活或抑制酶反应、活性氧(ROS)、微量元素与金属蛋白之间的结合位置竞争以及影响癌症事件的细胞膜通透性修饰。本文回顾了所有患者和对照组(健康人)抽取5 ml静脉血,分离血清,测定锌、铜、铁的微量元素浓度。通过使用。一种方便的比色测定法。p值大于0.05,认为数据具有统计学意义,四组微量元素(Zn、Cu、Fe)含量存在差异;对照组锌、铜的中位数高于其余各组,良性组铁的中位数高于其余各组。
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引用次数: 0
Assessing the reliability of serum macrophage migration inhibitory factor as a marker for diabetic nephropathy prediction in type 2 diabetes patients and the effect of ACE inhibitors on its level 评估血清巨噬细胞迁移抑制因子作为2型糖尿病肾病预测指标的可靠性及ACE抑制剂对其水平的影响
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-27 DOI: 10.31351/vol32iss2pp83-90
None Sumaya B. Abdulrahman, None Eman S. Saleh, None Sabah M. Saeedi
Abstract Diabetic nephropathy (DN) is a prevalent chronic microvascular diabetic complication. As inflammation plays a vital role in the development and progress of DN the macrophages migration inhibitory factor (MIF), a proinflammatory multifunctional cytokine approved to play a critical function in inflammatory responses in various pathologic situations like DN. This study aimed To assess serum levels of MIF in a sample of Iraqi diabetic patients with nephropathy supporting its validity as a marker for predicting nephropathy in T2DM patients. In addition, to evaluate the nephroprotective effect of angiotensin-converting enzyme (ACE) inhibitors in terms of their influence on MIF levels. This is a case-control study involving ninety subjects that have been divided into three groups: twenty apparently healthy control group and seventy patients with type 2 diabetes mellitus divided into two equal groups according to the presence of diabetic nephropathy that has been further divided into two groups according to the use of ACE inhibitors or not. Serum MIF, urea, creatinine, RBS, HbA1c, BMI, eGFR, and urinary albumin to creatinine ratio have been measured for each subject. Serum MIF’s highest levels were observed in the diabetic nephropathy patients (24.9 ng/ml) followed by the diabetics (14. 1 ng/ml) with the lowest level observed in the control group (4.8 ng/ml). There was a significant relation between MIF levels and ACE inhibitors (p-value <0.05) with reduced MIF levels in ACE inhibitors users. The ROC curve showed that MIF has a good performance in disease prediction. These findings support the reliability of MIF as a biomarker for the prediction of diabetic nephropathy and the possible reducing effect of ACE inhibitors on MIF levels.
糖尿病肾病(DN)是糖尿病常见的慢性微血管并发症。巨噬细胞迁移抑制因子(macrophages migration inhibitory factor, MIF)是一种促炎的多功能细胞因子,在DN等多种病理情况下的炎症反应中起着至关重要的作用。本研究旨在评估伊拉克糖尿病肾病患者的血清MIF水平,以支持其作为预测T2DM患者肾病的标志物的有效性。此外,从血管紧张素转换酶(ACE)抑制剂对MIF水平的影响角度评估其肾保护作用。这是一项涉及90名受试者的病例对照研究,分为三组:20名表面健康的对照组和70名2型糖尿病患者,根据是否存在糖尿病肾病分为两组,根据是否使用ACE抑制剂进一步分为两组。测量了每个受试者的血清MIF、尿素、肌酐、RBS、HbA1c、BMI、eGFR和尿白蛋白/肌酐比值。血清MIF水平最高的是糖尿病肾病患者(24.9 ng/ml),其次是糖尿病患者(14.9 ng/ml)。1 ng/ml),对照组最低(4.8 ng/ml)。MIF水平与ACE抑制剂之间存在显著相关性(p值<0.05), ACE抑制剂使用者的MIF水平降低。ROC曲线显示MIF在疾病预测方面有较好的效果。这些发现支持了MIF作为预测糖尿病肾病的生物标志物的可靠性,以及ACE抑制剂可能降低MIF水平的作用。
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引用次数: 0
Insulin Resistance in Association with Metabolic Syndrome in Wasit University Students in Iraq 伊拉克Wasit大学学生胰岛素抵抗与代谢综合征的关系
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-27 DOI: 10.31351/vol32iss2pp65-73
Alaa Zamil, Seenaa Amin
In Iraq 1.4 million of people have diabetes, the prevalence of T2DM was ranged (8.5%—13.9%), and the cluster of metabolic abnormalities has long been identified as the risk factors for type 2 diabetes and is now commonly described as metabolic syndrome/MetS. Insulin resistance takes a key role in the process of the MetS and has even been hypothesized as its underlying cause. Clinical and epidemiologic studies also indicate that obesity and life style habit might be correlated with IR. This study examined the relationship between IR and MetS in a sample of young, healthy university students in Iraq. It discovered that the severity of IR is positively correlated with the clustering of MetS risk factors in Iraqi students, suggesting that the IR index could be used as a diagnostic tool to identify the young adult who is at higher risk of developing IR and help prevent metabolic disorders that may develop secondary to IR. Insulin resistance was highly correlated with dietary product use, high BMI, and physical inactivity, investigating the IR in an early stage is crucial for trying to stop the disease progression into chronic disease.
在伊拉克,有140万人患有糖尿病,2型糖尿病的患病率在8.5%-13.9%之间,代谢异常群长期以来被确定为2型糖尿病的危险因素,现在通常被描述为代谢综合征/MetS。胰岛素抵抗在代谢过程中起着关键作用,甚至被假设为其潜在原因。临床和流行病学研究也表明,肥胖和生活方式习惯可能与IR有关。本研究考察了伊拉克年轻健康大学生IR和met之间的关系。研究发现,IR的严重程度与伊拉克学生的met风险因素聚类呈正相关,这表明IR指数可以作为一种诊断工具,用于识别患IR风险较高的年轻人,并有助于预防可能继发于IR的代谢紊乱。胰岛素抵抗与饮食产品使用、高BMI和缺乏身体活动高度相关,在早期研究IR对于试图阻止疾病进展为慢性疾病至关重要。
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引用次数: 0
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Iraqi Journal of Pharmaceutical Sciences
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